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Demographics, comorbidities and outcomes in hospitalized Covid-19 patients in rural southwest Georgia

Priyank Shah, Jack Owens, James Franklin, Akshat Mehta, W. C. Heymann, William Sewell, Jennifer Hill, Krista Barfield, Rajkumar Doshi

2020Annals of Medicine113 citationsDOIOpen Access PDF

Abstract

BACKGROUND: There is limited data on outcomes in patients with coronavirus disease 2019 (Covid-19) in rural United States (US). This study aimed to describe the demographics, and outcomes of hospitalized Covid-19 patients in rural Southwest Georgia. METHODS: Using electronic medical records, we analyzed data from all hospitalized Covid-19 patients who either died or survived to discharge between 2 March 2020 and 6 May 2020. RESULTS: =.02), were independent predictors of in-hospital mortality. Female gender was an independent predictor of decreased in-hospital mortality. Mortality in intubated patients was 67%. Mortality was 8.9% in <50 years, compared to 20% in ≥50 years. CONCLUSIONS: Immunosuppression, hypertension, age ≥ 65 years and morbid obesity were independent predictors of mortality, whereas female gender was protective for mortality in hospitalized Covid-19 patients in rural Southwest Georgia. KEY MESSAGES Patients hospitalized with Covid-19 in rural US have higher comorbidity burden. Immunosuppression, hypertension, age ≥ 65 years and morbid obesity are independent predictors of increased mortality. Female gender is an independent predictor of reduced mortality.

Topics & Concepts

DemographicsCoronavirus disease 2019 (COVID-19)MedicineComorbidity2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PandemicRural areaDiseaseDemographyInternal medicineVirologyInfectious disease (medical specialty)OutbreakPathologySociologyCOVID-19 and healthcare impactsCOVID-19 Clinical Research StudiesLong-Term Effects of COVID-19